Open AccessPremenstrual syndrome and dysphoric disorder as risk factors for postpartum depression
Author(s) -
Sylvén Sara M.,
Ekselius Lisa,
SundströmPoromaa Inger,
Skalkidou Alkistis
Publication year - 2013
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1111/aogs.12041
Subject(s) - premenstrual dysphoric disorder , medicine , postpartum depression , edinburgh postnatal depression scale , depression (economics) , history of depression , postpartum period , cohort , cohort study , psychiatry , obstetrics , population , pregnancy , gynecology , depressive symptoms , menstrual cycle , anxiety , macroeconomics , environmental health , biology , hormone , economics , genetics
Objective To investigate a possible association between postpartum depression and premenstrual symptoms. Design Population‐based cohort. Setting University Hospital, Sweden. Population During one year, May 2006 to June 2007, all delivering women in the hospital were asked to participate. Methods The participating women answered three questionnaires, at five days, six weeks and six months postpartum, containing the Edinburgh Postnatal Depression Scale (EPDS) and questions assessing previous premenstrual symptoms, medical history and life style. Main outcome measures The woman's self‐reported depressive case/control status, women with 12 or more points on the EPDS being considered as cases. Results Among the 2318 participating women, 7.1% had a history of premenstrual syndrome and 2.9% a history of premenstrual dysphoric disorder. Previous premenstrual syndrome/premenstrual dysphoric disorder was associated with self‐reported postpartum depression at five days, six weeks and six months postpartum. After stratification for parity, the associations remained significant solely among multiparas. Conclusions There appears to be an association between a history of premenstrual symptoms and development of self‐reported postpartum depression. Parity was identified as effect modifier. This finding is clinically important for health care professionals working in maternity care.